Sg Medical Professionals Nj PC
Family Medicine in Staten Island, NY. Organization (NPI-2).
Details
- NPI
- 1558097899
- Entity type
- Organization (NPI-2)
- Legal business name
- Sg Medical Professionals Nj PC
- Organization subpart
- No
- Enumeration date
- Jul 28, 2022
- Certification date
- Jul 28, 2022
- Last updated
- Jul 28, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
260 Christopher Ln Ste 102aStaten Island, NY 10314-1631
Phone 718-362-1406 · Fax 718-362-1651
Mailing address
228 E Route 59 # 400Nanuet, NY 10954-2905
Phone 718-362-1406 · Fax 718-362-1651
Authorized official
Krystal McKenna
Director Of Operations
7183621406
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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